MEDICARE: ALIGNMENT CHIROPRACTIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1386821361
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALIGNMENT CHIROPRACTIC

Provider Business Mailing Address
First Line	:	3742 E TROPICANA AVE
Second Line	:	# 1
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-7355
Country	:	US
Telephone Number	:	702-318-3344
Fax Number	:	702-318-3345

Provider Business Practice Location Address
First Line	:	3742 E TROPICANA AVE
Second Line	:	# 1
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-7355
Country	:	US
Telephone Number	:	702-318-3344
Fax Number	:	702-318-3345

Authorized Official
Title or Position	:	MD
Name	:	DR. ROBERT OSTOLAZA
Credential	:	DC
Telephone Number	:	702-318-3344

Provider Enumeration Date	:	01/22/2008
Last Update Date	:	01/22/2008

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Directions to “ALIGNMENT CHIROPRACTIC ” Practice Location

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